Organization
JOHN T HOUSTON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T HOUSTON MD (OWNER)
(270) 926-8828
Entity
Organization
Contact information
Practice address
2707 BRECKENRIDGE ST, STE 2, OWENSBORO, KY 42303
(270) 926-8828
(270) 926-0760
Mailing address
2707 BRECKENRIDGE ST, STE 2, OWENSBORO, KY 42303
(270) 926-8828
(270) 926-0760
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
21411
KY
363AM0700X
Medical Physician Assistant
PA787
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64214117
—
KY
Enumeration date
04/02/2007
Last updated
04/01/2009
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